Explorer Pipeline-PT110216 I A copy of the approved permit must be on the job site at all times.
CC: Applicant T H le CI T v o f
Page l of 4
Public Wow COPPELL
Permit File ,._ = Rev. 07/2010
* '.,;, * '
Orig. to Project File F 3 a 6 g O
1 � ^ RIGHT -OF -WAY USE PERMIT APPLICATION Permit valid for 90 calendar days fr om date of app
permit application to the Engineering Dpt., Town Center, 255 Parkway Blvd.
Date of Submittal: /5'r200/ / Applicant's Job # / Work Order # Ace
PERMIT FEE: $100.00
(No charge to Utility Companies with approved Franchise /ROW Use Agreement)
Refer to the City of Coppell Ordinance No. 2001 -944. Certificated Telecom Provider? Y N
❑ Plans provided and approved
(Erosion Control /safety fences must be installed prior to beginning work)
Project Name / Location: tC,yp10 /L bei. „de c04Go / - .,4✓� /,e di f 4 /'...v 6'
General Contractor: 40 01,044, c /9,Es,,,f6 Contact #
Permit issued to Company / Representative: , p 1,,t6t cdp- //et- (4 -
Address: 5( O N 475 A. li.tf44 4/Z 7V-47
Telephone #: 74 .gL a a 75- Emergency Telephone #: we- a S -75"y a
Utility Company Represented:
❑ Oncor Electric Delivery ❑ Atnios Energy ❑ Verizon ❑ SBC/ AT &T
❑ Time Warner Cable ❑ CoSery Electric /Gas [Other 6 !e 2_ 15 , i eE1.-."( C
General Description of Work (provide four [4] sets of plans): In accordance with Ord. No. 2001 -944.
J.J s /6cY iI 9.c w t.) e so,QE2-- i.e' e 44"21 ieertie-4 G,.A.0 <
elrutd, /ci✓, /,d// .53,40,00-40-5 7,
Estimated Start Date „2 -/P -•?pi/ Estimated Completion Date* 2 - ,yy,z.t t
* Completion requires submittal of Completion Verification Notice (see page 4)
D Was contact made with City and/or utility companies to locate existing utilities?
if NO, Reason: _ YES NO ❑
D Is removal of existing streets, alleys, or sidewalks necessary? YES ❑ NO 2-
if YES, must have City inspection prior to concrete replacement
Right -of -Way Use Permit Application Pale 2 of 4
Representative(s) of the Contractor must adhere to all construction standards approved by the City of Coppell, which
includes but is not limited to: Erosion Control Ordinance, compaction requirements (density tests may be required at
the applicants expense) and barricading according to the Texas Manual on Uniform Traffic fic Control Devices.
Area(s) affected must be restored to as good condition as before the commencement of work (grading, drainage,
vegetation, and erosion control). To schedule Public Works final inspection (Page 4) call 972- 462 -5155.
Y Any excavation requiring closing of a street /alley must be reported prior to closing to the following:
Police Department 0 972- 304 -3600
Fire Department 0 972 -304 -3500
Street Department @ 972-462-5150
Engineering Department 0 972 -304 -3679
Attach barricade plan / trench safety plan if a lane or street closure is required.
NOTE: Street closures are allowed from 9:00 a.m. until 4:00 p.m. ONLY unless otherwise approved by City
Engineer.
9 Attach Work Order (franchise only) and/or 4 sets of prints showing proposed work.
Contacts must be made to locate existing utilities 48 hours prior to beginning work.
(Application with original signatures should be submitted to the Engineering Department before approval.)
- ..4
-y-
li IUt'Ne.Cs )- 16-3ctl
Signature of Utility Company Representative Printed Name Date
- �4 C44 a -19" -zQ /
Signature o Contractor Representative Printed Name Date
L.0 /
14 w9a C- z/t 2 40 / is i
Signature 1 - l ity Representative Printed Name Date
D Comments: d ,,C% CW/ 7i<,k -01" /At"Viereg
NOTE: Notify City Inspector at 972- 304 -3679 prior to beginning work and prior to
backfall for concrete, trench, ditch and open pit inspections. Backfill must meet
all construction standards approved by the City of Coppell.
Applicant shall indemnify and forever hold harmless against the City of Coppell each and every claim,
demand or cause of action that may be made or come against it by reason of or if any way arising out of the
closure, blocking, excavating, cutting, tunneling, or other work by the applicant under permit from the City,
if such permit is granted.
' ' 1,4*
.1 , • w
EEE
o�
v -� -
C \ 1
ut
AO 1 ■ Q
` le. r'.
<n ...
, :
I.::
1' .' , K., . ::' :t : ::.:.. j; :',.:-..'-...
I ,..Ti
0.
} C3
:'
r ,.),,L,,,,,,,:-..1 ,:' _ -, '
„.....„.i,;,:c..r...k...„„.„. ,;:,
...:.:,..-- „LT.- - .,,..-
a'
i
d ,
��
4 z 3r
c r
{ . w-; m
O
1
,..,
! o .
ii 1
s , i r o
ri
h
%,.. c
1 4 ,e, i' 1.- 2. ---')N.‘ . 1
,,.... , I ,,
O '
r
t '1 a
w
co
/ �
f M
, oa
/ (o
CO
O
07
IN v
t t`-
M -
Q
C
V
a
M
m
m
.,
C9 `i
U
}
!J N
A+ n,
I
2
L i
s
. n
4
0
a;
c
GENERAL NOTES <>4 9r.�' qqq THE 1
DURATION Is RESPONSIBLE FOR MAINTAINING ADEQUATE SITE DRAINAGE THROUGHOUT THE .M L `�. Cae-e .1
TON OF THIS PROJECT i #
2. THE CONTRACTOR IS RESPONSIBLE FOR OBTAINING ALL NECESSARY PERMITS AND ` 4= tom•* LL��g' e
APPROVALS BEFORE CONSTRUCTION BEGINS N S. HE
CONTRACTOR ISRESPONSIBLE FOR OWN DETERMINATIONS AS TO THE TYPE tr,
UTLJTIES AND OTHER UL ES AS MAY BE NECESSARY
OF UNDERGROUND R MAK NG H 5 OW
TOD LOCATION DAMAGE ...... r
TO AVO D DAMAGE THERETO b
4. THE CONTRACTOR SHLLL HOT PLACE FILL OR WASTE MATERIAL ON ANY PRIVATE PROPERTY WITHOUT `^Z° 4 PROJECT WqC 1P S
PRIOR WRITTEN PERMISSION FROM THE PROPERTY OWNER AND THE OWNER. NO EXCESS EXCAVATED LOCATION E2M 9st.. is
MATERIAL SHALL BE DEPOSITED IN LOW AREAS OR ALONG NATURAL DRAINAGE WAYS THAT WILL DR .+�
RESTR CT THE NATURAL FLOW OF WATfR. THE CONTRACTOR PLACES EXCAVATED MATERIAL IN LOW .� C
AREAS THAT WILL CAUSE FLOOD DAMAGE,HIE'WILL BE RESPONSIBLE FOR ALL DAMAGE RESULTING FROM _ N iE
SUCH TILL.AND HE SHALL REMOVE THE FILL AT HIS EXPENSE. U . BfLTllNE RO M S s9
S. OR SHALL CONTACT I-000 DIC TE5S(349 B377)AND CRY OF COPPELL PUBLIC •'°� ti .' T� A
WORKS DEPARTMENT PRIOR TO ANY EXCAVATION i w
B THE CONTAAC°R SN LL HE RESPONSIBLE FOR PUBLIC SAFETY DURING CONSTRUCTION AND WILL ,0
OIE TIE iRAFFC BARRICADES RICA AND ALL BE SCONCE TO PROTECT THE R 1
CONS SITE CONSTRUCT ON BARRICADES SHALL BE N CONFORMANCE WITH THE TEXAS `V'
NUAL ON UN FORM TRAFFC CONTROL DEVICES `�"- R
7 DURING CONSTRU LL KEEP EXCAVATED TRENCHES FREE OF GROUNDWATER OR OTHER WATER
G O CONTRO OM.If NECESSARY,THE CONTRACTOR SHALL UTIUZE DEWATERING PROCEDURES IN
ORDER 1D CONTROL GROUNDWATER DURING CONSTRUCTION SUCH THAT IT DOES NOT AFFECT w
CONSTRUCTION WORK (NO SEPARATE PAY ITEM) (PA.
0. THE CONTRAiTFRE ISOREAP RESPONSIBLE FOR KEEPING COnEETS.PARKING AREAS,SIDEWALKS,ETC..ADJACENT TO
LOCATION MAP
0. CONSTRUCTION0OF TRIS PROJECT.RESPONSIBILITY FOR PROTECTION OF ALL UTILITIES IN THE
10. CONTRACTOR 5 CAUTIONED THAT ONE-CALL LOCATES UTILITIES THAT SUBSCRIBE TO THEIR SERV -' i
CONTRACTOR IS RESPONSIBLE TO CONTACT NOTED UTILITY PROVIDERS IN THE AREA DIRECTLY IF T YLT + M, .,� S.Iir
ARE NOT USTED AS RESPONDING TO ONE-CALL +.,„f,x- $ ^ .. `D R.
a-
T -w aaza to
TI. ALL u BOR TO NOT ERFORMEO N ACCORDANCE WITH ALL APPLICABLE AND LATEST OSHA STANDARDS sl¢- �'
NCL ONG BF; N TED TO TRENCH SAFETY _ •,z, '
12. CONTRACTOR SHALL AVOID MANEUVERING MACHINERY AND EQUIPMENT ON PAVER SURFACES. F IT BECOMES .� "� __.. ^°°°--�-a_ •, x•"'"`U. n. 5 y'�'UMU UU T.
NECESSARY,CONTRACTOR SHALL TAKE NECESSARY MEASURES TO ENSURE N0 MNAGE SCOURS TO T / , L"-°`•••�+�..�.�.,,,� �`°^'6^ ._.„.ter
ENT CONTRACTOR IS RESPONSIBLE TO REPAIR ANY DAMAGE HE CAUSES TO THE SAi SFA NL
13. CITY
roNtRACTOR SMALL NOT LEAV[ANT TRENCH OPE OVERN COT.F IL B[COMFS NLCESSA O TO E [THE CM } °
OPEN OVERNIGHT li SHOULD BE PROTECTED WITH STEEL PLATING,Ms OR APPROVED EQUIVALENT �; "'#f '0q� � ,.
E ^u
14. ALL TEMPORARY EROSION CONTROL MEASURES SHALL BE IN PLACE PRIOR TO START OF CONSTRUCTION,AND , .n "(ww rsv ' ^ 'f . Imo` m A w w o g
MUST BE INSTALLED IN ACCORDANCE WITH MANUFACTURER'S YE CIDCAI OHS. ♦ z .,i_}x .}A ' m Itz
15. TEMPORARY EROS ON CONTROL MEASURES SHALL BE INSTALLED USING BEST MANAGEMENT IM C CES J I
WATERWAI'S.ANN[R TO PREVENT CONSTRUCTION RELATED SEDIMENT TO FLOW DOWNSTREAM ' ,$ f $
17.J
G. TEMPORARY EROS ON CONTROLS SHALL BE INSPECTED AND MAINTA NED SUCH TO NSURE THEIR INTENDED '; TF` Y fi'.- � T ,
PERFORMANCE. E ^
NOTICOCITY INSPECTOR AT 972 304 3079 PRIOR TO BEG NNINC WORK AND PRIOR TO BACKFL }� '} , s 4 f ..'1.444,'.'s',," /
1 NOR NCRETE,TRENCH D TON AND OPEN PT INSPECTIONS BACKFILL NUST EET ALL C ONSTRUCT OH P -74','„p'�. 's 'tv T! ^ A- r
TANDARDS APPROVED BY THE CITY Of COPPELL
ONaPH A RUACx5G1
x,wmwiV 9xmrA
,A a+o mt Mssmm[
I aw
AWCUi.REMOVE AND REPLACE� 1 ATE P P NE
"- f. Pxncncc ul.
CONCRETE PAVEMENT PER TY - cAT ON 4
u SU Urtxs
m[rtxre wa¢
STANDARD REIN L5 E=244679510 o W
REPLACE EXISTING JOINT ELEV.441.79
.-.e .,._..,,,... EXISTING THICKNESS Qi l
P4
G.4
°" a
Exl E.p4^, IR"EXPLORER
PIPELINE
BE(TC/NE ROq p $3
-C.1 �.
yy� la
^'Y _ O PWa a u.
., 0
"°_ I Z x
. ..
.,
r t
W
e t a. L m 2D
I I 6DATE JANUARY 2014
i 2
BY OSA
, Z S I 0 DESIGN PCR
REVIEWED C I JOB!Kr 11914
* DWG. I1969RGnN01
• -4 - '{ SHEET
mil` OF 3